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Updated: Mar 22, 2026

Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test
Published on: April 27, 2016
Relationship between serum triglyceride levels and endothelial function in a large community-based study
Masato Kajikawa1, Tatsuya Maruhashi2, Takeshi Matsumoto2
1Division of Regeneration and Medicine, Medical Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima, Japan.
High triglycerides are linked to poor endothelial function, a key factor in cardiovascular events. Lowering triglyceride levels may improve blood vessel health and reduce heart disease risk.
Area of Science:
- Cardiovascular Research
- Metabolic Health
- Vascular Biology
Background:
- Low-density lipoprotein cholesterol is a known cardiovascular risk factor.
- Circulating triglycerides are increasingly recognized as a potential cardiovascular risk factor.
- Endothelial dysfunction contributes to the development of cardiovascular events.
Purpose of the Study:
- To evaluate the association between serum triglyceride levels and endothelial function in a general population.
- To determine if triglycerides are an independent predictor of endothelial function.
Main Methods:
- Cross-sectional analysis of 4887 subjects from the FMD-Japan registry.
- Assessment of endothelial function using flow-mediated vasodilation (FMD).
- Statistical analysis of serum triglyceride levels and FMD, adjusting for cardiovascular risk factors.
Main Results:
- Serum triglyceride levels showed a significant negative correlation with FMD (r = -0.12, p < 0.001).
- FMD decreased progressively with increasing triglyceride levels across six groups.
- Elevated triglyceride levels (≥1.20 mmol/L) were independently associated with lower FMD quartiles after multivariate adjustment.
Conclusions:
- Triglycerides are an independent predictor of endothelial function.
- Lowering circulating triglyceride levels may improve endothelial function.
- Potential reduction in cardiovascular events through triglyceride management.
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